| Regimental number | 4247 |
| Place of birth | London England |
| Religion | Church of England |
| Occupation | Hospital attentant |
| Address | Mental Hospital, Parramatta, New South Wales |
| Marital status | Married |
| Age at embarkation | 32 |
| Next of kin | Wife, Mrs Minnie Cushing, 11 Ringcroft Street, Holloway Road, London North, England |
| Enlistment date | 3 June 1916 |
| Rank on enlistment | Private |
| Unit name | 30th Battalion, 11th Reinforcement |
| AWM Embarkation Roll number | 23/47/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board SS Port Nicholson on 8 November 1916 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | 30th Battalion |
| Fate | Effective abroad (still overseas) |
